Active NPI
Divina Catalasan
- Long Term Care Pharmacy
- Santa Ana, CA
National Provider Identifier
1003971425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY43441
- Legal business name
- DIVINA CATALASAN
- Practice address
- 2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339 - Phone
- (714) 754-4567
- Fax
- (714) 754-6691
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Divina Catalasan
- Title
- Owner
- Phone
- (714) 231-0986
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | PHY43441 | CA | Primary |
Addresses
Primary practice location
2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339
Mailing address
2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339
Phone (714) 754-4567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA412670 | Medicaid | CA | |
| 1996035 | Other | PK |
Other names 1
- QUALITY CARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
2413 S Fairview St
Ste E
Santa Ana, CA 92704
Phone (714) 754-4567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466467200000",
"number": "1003971425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 S FAIRVIEW ST",
"address_2": "STE E",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045339",
"telephone_number": "714-754-4567",
"fax_number": "714-754-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 S FAIRVIEW ST",
"address_2": "STE E",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045339",
"telephone_number": "714-754-4567",
"fax_number": "714-754-6691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINA CATALASAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2016-06-21",
"status": "A",
"authorized_official_last_name": "CATALASAN",
"authorized_official_first_name": "DIVINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-231-0986"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY43441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA412670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1996035",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "QUALITY CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.